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FORM - STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER V~4,1 TOWNSHIP 07 S AV A
SECTION 3o~) T N-R /~7 W
ADDRESS ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT LOT SIZE
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET'OF SYSTEM
o a
Y
a
1d0,~ b 'IM .L
o "P,U,.
yea
• ~ n R
S/ INDICATE NORTH ARROW
BENCHMARK: Elevation and description: je;'
Alternate benchmark
SEPTIC TANK: Manufacturerk,'LP5~6i?o oot Liquid Cap.
Rings used: Manhole cover elev: Final grade elev:
Tank inlet elev.: Tank outlet elev.:
No. of feet from nearest road:Front_]~ , Side , Rear Ft? 3dc'6
From nearest prop. line:FrontT\, Side , Rear Ft.
No. of feet from: Well -7'4 C:a , Building: do
(Include this information in the above plot plan)
(2 reference dimensions to septic tank)
SEE REVERSE SIDE
PUMP CHAMBER p
Liquid Capacity: v
Manufacturer:
Pump Model: Pump/Siphon Manufact.: 6 r Pump Size
Elevation of inlet: Bottom of tank elevation
Pump on elev.: 'Pump off elev.: G41lons/cycle:
ry
Alarm: Man.. i1o Switch Type: Location
t
Distance from nearest prop. line: Front L- Side, Rear Ft.
.a I l
Distance from: Well ? Building
SOIL ABSORPTION SYSTEM
Bed: Trench: Seepage Pit:
O- 4'1 ~x Length_ Number of Lines: Area Built
width:
Exist. Grade Elev. Proposed Final Grade Elev.
Fill depth to top of pipe:
No. feet from nearest prop. line:Front K , Side , Rear Ft.>3z
No. feat from well: No. feet from building
HOLDING TANK
Manufacturer: Capacity:
No. of rings used: Elevation of bottom tank:
Elevation of inlet:
No. feet from nearest prop. line:Front , Side , Rear Ft.
No. feet from: Wellbuilding , nearest road
Alarm Manufacturer:
INSPECTOR: L,
DATE : PLUMBER ON JOB:- r ~l ~)7~
LICENSE NUMBER: 2 ci 3 1
6/9o:cj
a
I>~~e~i artrr e~rt f+ r'~i' VALLEY 30gWA_] TE _75,,27,i~$iS' E _170TH County: and Human Relations OVA tvv T M Safety arnd Buildings Division INSPECTION
REPORT ST. CROIX
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION
Permit Holder's Name: 186515
❑ City ❑ Village [Town of: State Plan ID No.:
e VAL
Insp. BM Elev.: 7BM Description:
Parcel Tax No.:6
/GL~• 024 91071 9 00,
TANK INFORMATION ELEVATION DATA A9200401 8S 3
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic B e n c h m a r
j+ 2~0 /CJ~GfJ
Dosing r
Aeration-, Bldg. Sewer
Holding St/ F Inlet G L
TANK SETBACK INFORMATION St/ Outlet
TANK TO P/ L WELL BLDG. Ai Intake ROAD Dt Inlet rf AZ 5~ , '
Septic 14 NA 91ep ttom '
Dosing J51' 31' NA Header/ Man. 1.6 ~ r
d5.7 7
Aeration NA Dist. Pipe
Holding Bot. Syste`m' 3 62' /
0.P
PUMP 'INFORMATION Final Grade
I
Manufacturer Demand ° T r^
4
C; Model Number x~ ~3 0'GPM
wei
TDH Lift Frictions System "Y TDH ifFt `
i F-f
Forcemain Length j~ Dia. Dist. To Well (ps
SOIL ABSORPTION SYSTEM
w//Z
BED/TRENCH Width Length , No. Of Trenches P No. Of Pits Inside Dia. Liquid Depth
DIMENSION 613 1
DIMEN I N
SYSTEM TO P / L BLDG WELL LAKE / STREAM LEAC Manufacturer:
SETBACK
INFORMATION Type Of i?e CHAMBER Number:
~r system: /z, 22± OR UNIT
DISTRIBUTION SYSTEM
Oew6er /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length _&Z Dia. I? Length .5C ) Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over a rr Depth Over r xx Depth Of xx Seeded/ Sodded xx Mulched
B~lTrench Center ~p BiRt1.Trench Edges /If Topsoil es ❑ No [-tom ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: PLEASANT VALLEY 32.28.17.272,SE,SE 170TH
Plan revision required? ❑ Yes Q-No
Use other side for additional information. 1071,19-3
SBD- 710 (R5 05/,911) Date Inspector's Signatur Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
v
®1LHR SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code FCO!IUTE NTY
-Attach complete plans (to the coun~ CO SANITA ERMIT #
8i4 x 11 inches in size. PY only) for the system, on paper not less than ❑ l
-See reverse side for instructions for completing this application. STATE ch ~f PLAN r I. n to V,.,,iOs application
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. .D NUMBER
PROPERTY WNER PROPERTY LOCATION /
`-:3 ~OD e(r ~ Y.SjE %4,S Tc-Lj N,R E or W
PROPER OWNER'S MAIL NG AD SS
LOT # BLOCK #
3
C ` , STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NU~i1BER
~o
er F4 ~ ova 1( 1
11. TYPE OF BUILDING: (Check one) ❑ State Owned 1)~ NEAREST ROAD
O
AL 7, VILLAGE L'
❑ Public 1 or 2 Fam. Dwelling- # of bedrooms P R L TAX NUMBERO Q , j_
111. BUILDING USE: (If building type is public, check all that apply)
1 ❑ Apt/Condo v l
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. &1 New 2. ❑ Replacement 3.E1 Replacement of 4.0 Reconnection of 5.0 Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION
56) Si'' U D Feet /0 5 Feet
VII. TANK CA ACITY
in allons Total # of Site
INFORMATION Manufacturer's Name Prefab. Con- Steel Fiber- Plastic
Exper.
New istin Gallons Tanks oncret
Tanks Tanks structed glass APP•
Septic Tank or Holding Tank adC~ f ! S
Lift Pump Tank/Si hon Chamber K
Vllli. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on th ttached plans.
Plumber's Name (Print): PI s Signature: (No tamps) MP PRSW Business Phone Number:
3~ ~
lumber's Address (Street, Ci late, Zip Code):
20 Iftter AA
IX. COUNTY/DEPARTMENT USE ONLY
❑ D=eer anitary Permit Fee (Includes Groundwater Date issued Iss ' Agent Sign o Stamps)
'Pi Approved ❑ OSurcharge Fee) 192
AX. CONDITIONS OF APPROVAL/REASONS FOR DI SAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
R
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable.
3. All revisions,to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
submitted to the county prior to installation.
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the
State of Wisconsin, Safety & Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in #1-7.
VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all
septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR.
Vlll. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn to scale or with complete. dimensions, location of
holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system
areas; and the location of the building served; B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required byAhe county; E) s'gil test data on a 115 fprm; and F) all sizing information.
GROUNDWATER-SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
STC-100
This application form is to be completed in full, and signed b
the owner (5) of the property being developed. Any inade uacies
will only result in delays of the inadequacies
development be intended for resale bytowissuance. Shs
d spec
ner/contractor (
house), then a second form should be retained and completed when
the property is sold and submitted to this office with the
appropriate-deed- recording_--_-------
Owner of property
Location of property S~1/4 1/4,, Section S p.
~ T~0 N-R_Z2W
Township rte S l
L
Mailing address S-3 6
t
Address of site
Subdivision name
Lot no.
Other homes on property?
yes ?C No
Previous owner of property
a z
Total size of parcel
Date parcel was created
Are all corners and lot lines identifiable?
Yes No
Is this property being developed for (spec house)? Yes
No
volume and Page Number ~(~V ~
of Deeds. -[6 as recorded. with the Register
-
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT
NUMBER & THE SEAL OF THE REGISTER OF pEEES.,, VOLUME AND PAGE
certified surve In addition, a
Y, if available; ;would be helpful so as to avoid
delays of the reviewing process. If the deed description
references to a certified survey map, the Certified Survey Map
shall also be required.
PROPERTY OWNER CERTIFICATION
I(we) certify that all statement, on this form are true to th
best of my (our) knowledge that I (we) am e
of
the property described in this information form by e owner virtue (s) of a
warranty deed recorded in the office of the County Register of
Deeds as Document No.
own the , and that I (we) presently
proposed site for the ewage disposal system or I (we)
obtained an easement, to run the above described ro er
the construction of said system, and the same has been duly
recorded in the office of county Register of deeds as Document
No.
:Uri Signatof ap 'cant
r~ Co-appl cant
Date of Si ature
Date of Signature
yam`
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SEPTIC TANK MAINTENANCE AGREEMENT ~
St. Croix County
' OWNER/ BUYER e i'1 S ~D t' l~ W
ROUTE/BOX NUMBER Fire Number
CITY/ STATE ZIP JC~d c% M
PROPERTY LOCATION:'.'' 5~A;, Section _ T c* N, RZW,
Town of LLs~1 St. Croix County,
Subdivision Lot number--
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes.- Proper maintenance con-
sists of pumping out the septic tank every three years or sooner,
if needed, by a licensed *s'e tic tank um per. What you put into
the system can affect the function o t e-septic tank as a treat-
ment-stage in the waste disposal system.
St. Croix County residents may be eligible to recieve a grant for
a maximum of 60% of the cost-of replacement of a failing system,
whic was in operation prior to July 1, 1978. St. Croix County
accepted this program in August of 1980, with the requirement that
owners of all new 's'ys't'ems agree to keep their system properly
maintained.
The property owner agrees to submit to St. Croix County Zoning a
certification form, signed by the owner and by a mater plumber,
journeyman plumber, restricted plumber or.a licensed pumper veri-
fying that (1) the on-site wastewater disposal system is in proper
operating condition and .(2).after inspection and pumping (if nec-
essary), the septic-.tank is less than 1/3 full of sludge and scum.
Certification form will be sent approximately 30 days prior to
three year expiration.
H
I/WE, the undersigned have read the above requirements and agree o
to maintain the private sewage disposal system in accordance with
the standards set forth, herein, as set by the Wisconsin Depart- o+
ment of Natural Resources, Certification form must be completed
and returned to the St. Croix County Zoning Office within 30 days
of the three year expiration date. J
SIGNED
DATE ( j ! 1
St. Croix County Zoning Office
911 4th St.
Hudson, WI 54016
386-4680
Sign, date and return to the above address.
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page l of 3
Labdr and Human Relations -
• , Divigion of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code '
COUNTY
'PI
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
riot limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. O Z t/- 1 O f _ 6 O
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
'bE►J~l lS C_OO GOV. LOT 5E. 1/4 SE 1/4,S 3ZT Z8 N,R 17 E (or W
PROPERTY OWNEIT.S MAILING ADDRESS LOCK# SUED. NAME OR CSM #
S-16 N , w l vTeiZ ST.
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD
'.1UiErz LL$ l.J~ S4pZ.2 (~l$1 ~[ZS,370 PL S> 1T VRtrL~{ \10 `N ~T.
P1 New Construction Use [Sq Residential / Number of bedrooms [ ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow 1-'40 gpd Recommended design loading rate ►J R bed, gpd/ft2 0-~ trench, gpd/R2
Absorption area required 3'~ S bed, ft2 31 s trench, ft2 Mabmum design bading rate N bed, gpd/ft2 S . 3 trench, gPdjft2
Recommended infiltration surface elevation(s) 1 b 4.1 It (as referred to site plan benchmark)
Additional design/ site considerations \Z ~ un)bM Y~ QQgj w / y ~i p w c~ P i v t~ 1,
Parent material i t LL- Rood plain elevation, if applicable N • A • It
tSu: tabl e for System CONVENTIONAL MOUND IN-GROUND PRESSURE AT GRADE SYSTEM IN RLL HOLDING TANK
suitable fors stem ❑ S O U ®S ❑ U El S [4U ❑ S ® U ❑ S o u ❑ S ® U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rfier&
R
1 0-y 10~1~'z 3tZ - Stl Z.i~h M~i,• a-S Zvi d•s o.6
q-9 vzI 1z 4//3 wl o.~
0.,S Zvi N.P.
Ground 3 q-\Z. 1o`1Qy13 - st'I Z~'0.bk >nIpt- cS Z~-f b.s o.b
elev.
103.8 ft. li-lq R Sr 13 6~ sL~ F sbk t, cw c~• S
Depth to 5 kq-41 7-S Y2 31y - s c l 1 ►'►'1 slk `Fti cQ o • Z o . 3
fimiting
factor S `-IQ Sly l~ S`1Q 313 5C~ O m t tt•P N P.
5 w t~ ate 13 SMuo cor,'rS ~ Willa ~r~.s/3 S o ~hTS ~~c~ ctr~- c~L ~a P~.Riu s ,
Remarks: 'Ru-'-oRjK1GS-`t~otzO cs $~ckv -y'413 '-t~ou%-L puoliq Cr "LL~
Boring # ;
SL I Z`F~jl- w1' A.S z~F o•S `o.L
Z Z S- 9 l O `1 Q 4/ /3 s 1 1 rr~ p~ h1 TH Q S ~v rv P. 0 3
3 q-ly y/3 _ sil Z `Fs~k m~~ cs o.L
Ground
elev. l4-zl lu~~ ~/l3 SC Z `F sb1~ wi cS o-y o. S
\oo.p ft, C2 'l.SY2 Y/~
Depth to S Zl -3 3 l O y o k 2 s 1 z C o i ti• p• N. P,
limiting w/ f o b (Z S /3 S 04 *1r S
facto, „
Remarks:
TName* -Please Print Phone: Arthur L. We erer 715-425-0165
egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022
Signature: Date: CST Number: 576
PROPERTY OWNER GOo per? SOIL DESCRIPTION REPORT Page Z~ -Of 3
PARCEL I.D.# OZ~ ~>Jy ' 60
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bo bay Roots GPD/ft.
in. Munsell Chu. Sz. Cont Color Gr. Sz. Sh. Bed 74-
0-V ~.o-Q Zv4 a.s ~ pW,qs Ground 3 9-17 tw Y R Y/3 S 1 Z `F of bk m~~ c S l o- s 0. l
elev. c 2 ~ -S Lj z VA
rn `F'~ c S R
q q • Oft 17 - L3 10 `t ?4r/3 d 10 `t P- S )z se 1 m 0011k
12-3-3S I6VI? y/y mZ fi N P. W) 1P.
Depth to S
limiting
factor ,
t'1
Remarks:
Boring #
E,3-
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SRD-8330(R.05J92)
• PLOT PLAN Page 3 of 3
SCALE 1"= 30
~ ~ v`3E 'TD 'Z~E: rtT LL~S-- ZS' rvoR-M OF A16UXjb
WELL. << << 50~
a
r
bpL1Gb1 j 1 KTLVX EL. lr4wO (3111 6 h}!GH 31 y" PVC PIPE, w,/L R-IW
I _
SL AQ rj 4 q`-
B4 3 250
I ~f~s oR _T
91 ' N
1/1 I /
~2 lp Z
U~ I
/ O
% ad
'7 Tt1~ L e- J
wouo~ ~ 8 ~
az-18o
8; 2-1 s) `4 ZS-016S S-)6
CST Signature Date Signed Telephone No. CST #
REPT131 PLEASANT VAL ST. CROIX COUNTY ZONING PAGE 1
01/04/93 16:30 REQUESTS FOR INSPECTION WORK SHEETS FOR: 1/ 5/93 AREA: JT
Activity: A9200401 1/ 5/93 Type: MOUND Status: PENDING Constr:
Address: PLEASANT VALLEY 32.28.17.272,SE,SE 170TH
Parcel: 024-1041-90-000 Occ: Use:
Description: 186515
Applicant: COOPER, DENNIS Phone:
Owner: COOPER, DENNIS Phone:
Contractor: WANG, TOM Phone: 425-9958
Inspection Request Information.....
Requestor: WANG, TOM Phone:
Req Time: 11:01 Comments: //;0d
Items requested to be Inspected... Action Comments Time Exp
00012 FINAL INSPECTION
Inspection History.....
Item: 00012 FINAL INSPECTION
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
PRIVATE SEWAGE PLAN APPROVAL Western Regional Office
"6 Rose Street
LaCrosse, Wisconsin 54603
WEGERER SOIL TESTING & DESIGN Owner: DENNIS COOPER
BOX 74 536 N WINTER ST
RIVER FALLS WI 54022 RIVER FALLS WI 54022
RE: Plan Number: S92-40816 Date Approved: September 14, 1992
Gallons Per Day: 600 Date Received: September 2, 1992
Project Name: COOPER, DENNIS Location: SE,SE,32,28,17W
Town of PLEASANT VALLEY County: ST CROIX
The plumbing plans and specifications for this project have been reviewed for
compliance with applicable code requirements. This approval is based on Chapter
145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are
stamped 'conditionally approved'. This approval is contingent upon compliance with
any stipulations shown on the plans. All items that are noted must be corrected.
All permits required by the city, village, township or county shall be obtained
prior to construction. The licensed plumber responsible for this installation
shall keep one set of plans with the department's approval stamp at the
construction site. The installer shall notify the appropriate inspector when
inspections can be made.
This approval will expire two years from the date approved or if a sanitary
permit is obtained, it will expire the day the initial sanitary permit expires.
The Section of Private Sewage has reviewed these plans for private sewage system code
requirements only. These plans have not been reviewed for the code requirements
set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the
Wisconsin Administrative code.
This approval is for the following components only:
- NEW PETITION
- NEW MOUND
Inquiries concerning this approval may be made by calling (608) 785-9348.
Sincerely,
4
ERARD M. SWIM
Section of Private Sewage
Division of Safety and Buildings
PPP039/0009n/38
cc: DENNIS COOPER X Private Sewage Consultant
SBD-64231 R. 01/91)
Page of 6
MOUND SYSTEM
FOR
A y BEDROOM RESIDENCE
LOCATED IN THE SE 1/4 OF THE SE 1/4 OF SECTION 3 Z , T Za N, R 1'1 W,
TOWN OF P~-SPtti1~ uR~L~ r . sT--CZOEX COUNTY, WISCONSIN.
INDEX
PAGE l 'of 6 TITLE SHEET
PAGE 2 of 6 PLAT PLAN
PAGE 3 of 6 PLAN VIEW-CROSS SECTION
PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT
.PAGE 5 of 6 PUMPING CHAMBER
PAGE 6 of 6 PUMP PERFORMANCE CURVE
PREPARED FOR
'pC.NtJ~S C4oPET2
S 3b N. W11U"StTZ ST._
T~1vE~a 'FP+LIS.~k~l 5~{oiZ
PREPARED BY
Il 04"
WEGERER SO I l- TEST I NC3 f AND . r
ARTHUR L
weGEsuRER l
DESIGN SERVICE
L a P
r~swoRTH, ;
• wrs.
s ~
F.O. B01 T; 421 N. MIN ST.
RIVFF. FAM. VI 54422 h,~•
715-425-014
a- zb -9 Z.
JOB NO.
• PLOT PLAN Page Z of 6
Scale 1"= -3o'
tv~~.' w e1.~ 1t %-sE ~)T L~%_*sT So r-i~>v1 M of kt>
/'\T I~RST ZS~ 3J1-t `T"R1J1~S.
cf_P
`i Z.p` OF
RES1D "Ce
y'1 Pvc
pFgVATE SEWAGE SYSTEM ~
Conditionally
x-191 0r- 7." J
ht A ROVED
LABOR & HUMAN RELATIONS
MT. OF n~ousrnY,
OIYISION OF SAFETY AND B ILDINGS y I
0 Zia
6 U d
SEE OR DENCE
T)f 8h $ZI t,I S ~ Co~~~Te~- o _ ~ s3•a C ►.ior ~ CALV
rvl bl 2
F,
m
v
4 KCzT I Yt~L.~(' 93 . R ~ o Z, S .
wooer S~ii°J
NOTES:
1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install permanent markers at end of each lateral. ( V required)
3. Install 4" observation pipes with approved caps. /y required)
4.-Septic tank to be \72..50 gallon capacity manufactured by
W k S fflZ CO&i e.V__e'M Qp-ADU C.T S
5. Bench Mark tO0 O' ot~ 6'` H t 6!-F 3A/ ' Dl F3 PU C PIPE w ZC->jTN -
6. Divert surface water around mound to.prevent ponding at the uphill side.
Page 3 Of ~o
Approved Synthetic Covering
Distribution Pipe
Medium Sand
H G
-
Topsoil F Elev. 1 Q4, S
-
3 E w
5'/Z%- Slope Trench Of y2"__ 2 :2" Force Main Plowed
- Layer
PRIVA E SEWAGE SYSTEM From Pump
Aggregate
D Z.o Ft.
E 3. 1 Ft.
APPROVEDs Section of A Mound System Using F o•% Ft.
DEPT. OF INDUSTRY, LABOR 3 HUMAN G y. O Ft.
DIYISHIN OF SAFETY AND IS FAVkhes For The Absorption Area
A Ft. H t- S Ft.
B 63 Ft.
&C-1 I zil
SEE COR S 0 DENCE C 16 Ft. 6
Ft.
Linear Lo ding Rate= y.-)6 GPD/LN FT
Design Loading Rate= o.2.SGPD/SQ FT J )p_ Ft.
K \S Ft.
L of 3 Ft.
W qS Ft.
L
g K
Observation Permanent
C Pippes ~-Markers
(Anchor securely) Force
----------------1-- Main
W Distribution Trencfi Of 2 2
2..-
Pipe Aggregate
Mound Using 2 Trenches For Absorption Area
Page ' Of 6
Perforoted Pipe Detail
0
End View
)Perforated
End Cop a PVC Pipe Install permanent-marker
;on`• at end of each lateral
Holes Located On Bottom,
Are Equally Spaced
Q S
PVC Force Main
k ,
Q
PVC
Mori old Pipe
w
piste ution
Pi e
Last Hole Should Be
Next To End Cap
End Cap
P 30 Ft.
Distribution Pipe. Layout $ Ito Ft.
SAGE SYSTEM X '48 Inches
p fkl%jN t lly Y Y8 Inches
nditlona Hole Diameter J/y Inch
Co
I ED Lateral I Inches
NS
® ~LpS10 n
V000 R Manifold Z- Inches
P & S
A gDR
NAD Force Main " Inches
OF INDUS ~Y'sA Ell
Vol 014%S10N # of holes/pipe 8
NGE
SEE C0AB P Invert Elevation of Laterals 1DS.0 Ft.
Place 1st hole Z0 from center of manifold with succeeding holes
at 4e intervals. Last hole to be next to the end cap.
6
PUMP CHAMBER CROSS SECTION AKID SPECIFICATIOUS ' PAGE 5 ' OF
VENT CAP
4%.I. VENT PIPC WEATHER PROOF APPROVED LOCKING MANHOLE
JUUCTIOU BOX ! COVER WITH WARNING LABEL
~ 25' FROM DOOR, I2•M161. •
WIUOOW OR FRESH
AIR INTAKE
GRADE I y MIN.
o! L
I IB•Mlu.
COIJDUIT
18'KIIJ. q_QNXGrr. SYSTEM
on
VIDE I
IAILET HT SEAL i I I
()v I III V
s I o 0 WTS
J 1
p~ TION I I APPROVE
APPROVED JOINT A IKU01 N 11
I,p,80R >i< GS ( I (
Of INDUSTRY, ANO ®11I
IVISI011 Of AfEt'I ALARM
8 ( I
CE I I ON
SEE CORRESP I i
LLEV.'89' -7 FT. PUMP-~ OFF
0
EL. $x.00 CONCRETE OLOCK
3" APAR~E'
RISER EXIT PERMI'Im OWLU IF TANK MAUUFACTURER HAS SUCH APPROVAL. gEOO1
SPECIFICATIOKIS
TAM MANUFACTURER: CW-E9 M p~VjLnNUMOER OF DOSES: - PER DAl
TANK 5IZC : Q GALLONS DOSE VOLUME
S. S': vx_LzeyF_o SAI 3rEm S INCLLIOIN& 6ALKFLOW: V t 6' ID GALLONS
AL_ ARM MMJUFACruRER:
MODEL IJUMBCR: ~b CAPACITIES: A= I ~ :INCHES OR bI' GALLOWS
SWITCH TyPt' 5= Z ' INCHES OR s-).q Gt%LLOUS
PUMP MANUFACTURER: ZoELI-eP- ComPlw'l G■ 6lit. INCHES OR \$b'~c GALLONS
MODEL NUMBER: 63 ID--)q' INCHES OR yo1' 9 GALLONS
SWITCH TYPE'S NOTE: PUMP AND ALARM ARE TO OE
MINIMUM DISCHARGE RATE 3'44 GPM INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFERENCE BETWEEIJ PUMP OFF AIJO-DISTRIBUTION PIPE.. 2b'83 FEET
+ MINIMUM NETWORK SUPPLY PRESSURLTEE~ , . • 2.50 FEET
+ O FEET OF FORCE MAIN X 2.33 F✓po fLFRtCTIOU FACTOR. -K3 FEET
TOTAL OyWAMIC HEAD = 22-26 -FEET
DIAMETER - ii
v 3l, I / Z'
INTERNAL DIMEWSIOLlf Of TANK: L-EAI&TH 99 1oi' ;WIDTH 8""'4r" ;LIQUID DEPTH
4Sv Bor. '777".80T.
BOTTOM AREA _ 231= T GAL/INCH
AS PER MANUFACTURER = Zla.- 71 GAL/INCH _
N ~P-,st S, of 6
W P' HEAD/CAPACITY CURVE 161, 163 AND 165 SERIES TOTAL DYNAMIC HEAD/FLOW PER MINUTE
J LL EFFLUENT AND DEWATERING
W
165
163
161
25 SERIES
90 FT. M. Gal. Ltrs. Gal. Ltrs. Gal. Ltrs.
5 1.52 106 401 61 231 61 231,
- 00 24
MO EL 10 3.05 100 378 61- 231 61 231
70 15 4.57 -91 344 60 227 60 227
W 163 20 6.10 82 310 59 223 60 227
_ 60 25 7.62 74 280 57 216 59 223
V 16 30 9.14 65 246 55 206 58 220
Q 50 40 12.19 46 174 46 172 55 206
50 15.24 21 80 33 125 51 191
p 12
Q OD 60 18.29 15 57 43 161
F- 30 70 21.34 30 114
10- a 21 80 24.38 14 53
Z0 90 27.43
4 .~y 100 30.48
10 Lock Valve: . 56' 66' 87'
0
GALLONS 10 30 40 50 60 70 60 10 100 110
LITERS 0 6o 160 240 320 400
.r
FLOW PER MINUTE "
Standard ad models - Weight 77 lbs. - 20 n cord - % H.P. - -
161 MODELS Control Selection o 2-11uWTMM
o sa, a-srwr
Model Vohs-Ph Mode Am Simplex Duplex
- I -
M161 115 1 Auto 14.0 1 or l &9
N161 115 1 Non 14.0 2or2&8 3or5&6
-
D161 230 1 Auto 7.0 1 or l &9
E161 230 1 Non 7.0 2or2&8 3or5&6 T-
F161 230 3 Non 3.0 2&4 3&4or5&6
•H161 200-208 1 Auto 8.2 1&9 -
`1161 2OD-208 1 Non 8.2 2&8 3 or 5& 6
*J161 200-208 3 Non 2.2 2&4 3 & 4 or 5 & 6 +
`G161 460 3 Non 1.5 2&4 3&4or5&6 I `
Standard all models - Weight 77 lbs. - 20 fL cord - V, H.P.
163 MODELS Control Selection
Model Volts-Ph Mode Am Sin x Duplex 6
-
M•163 115 1 Auto 14.0 1 or l &9
N163 115 1 Non 14.0 2or2&8 3or5&6
-
D163 230 1. Auto 7.0 1 or l &9
E163 230 1 Non 7.0 2or2&8 3or5&6
F163 230 3 Non 3.0 2&4 3 & 4 or 5 & 6 SELECTION GUIDE
`H163 200-208 1 Auto 82 1&9 - 1. Integral float operated mechanical switch, no external control required.
•1163 200-206 1 Non 8.2 2&8 3 or 5 & 6 2. Single piggyback mercury float switch or double piggyback mercury float
•J163 200-208 3 Non 2.2 2&4 3 & 4 or 5 & 6 switch. Refer to FM0477.
`G163 460 3 Non 1.5 2&4 3 & 4 or 5 & 6 1 Mechanical alternator "M-Pak" 10.0072 or 10-0075.
4. Combination
Standard all models - Weight 82 tbs. - 20 tL cord -1 H.P. saner. Refer to Electrical .
5. See FM0712; for correct model l of of Electrical ARemator, "E-Pak".
165 MODELS Control Selection 6. Mercury sensor float switch 10-0225 used as a control activator, with "E-Pak"
Model Volts-Ph Mode Duplex Amos skuplex alternator, 3 or 4 float system.,
D165 230 1 Auto 9.0 1 or 1 & 9 - 7. SIMPLEX CONTROL BOX 10-0050, 1 %/230V, 1 Ph. max. 2HP use one (1)
E165 230 1 Non 9.0 2 or 2 & 8 3 or 5 & 6 single piggyback wide angle mercury float switch OR two (2)10-0225 mercury
sensor floats for level control.
F165 230 3 Non 6.6 2&4 3 & 4 or 5 &6 8. Farr (4) hole "J-Pak", junction box, for watertight connection or wired-in
`H165 200-208 1 Auto 10.7 1 or l &9 - simplex or duplex operation.
`1165 200-208 1 Non 10.7 2&8 3 or 5 & 6 .9. Two (2) hole "J-Pak", junction box, for watertight connection or splice.
`J165 200-208 3 Non 7.0 2&4 3 & 4 or S &6 `No Molded Plug
`G165 460 3 Non 3.3 2&4 3& 4 or 5& 6
For information an additional Zoeller products refer to catalog on Combination Starter. CAUTWN
FM0514; Piggyback Mercury Switches. FM0477; Electrical Alternator. F140M. Mechanical N fnetaf -M of aarlbeh. proMefon d,afoea and wil" slow be don, by a losmad.:gwdilled
Alternator. FM0495; Alum Package. FM0513. Sumprwaws Basins, FM0467; and Simpler M Nedrial and sW* coda dwA be fofarrad bhpbadf l%":awat raoNM HIS"
Control Box. FM=. Bulk Cade PIEC7 and the Oom pef ail Sd* and two Att (09FM)
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
3280 ow Mlrsrs Lane Manufacturers of .
L' P.O. Box 16347
o ® ZZ1ZZb7 O_ (502) 731 QUALITY AA#F fNCE ~fyf
i
ST. CROIX COUNTY
WISCONSIN
l,'it h r ~j .y.
'~'H I.. t h
~ ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
►W
Aug. 24, 1992
Division of Safety and Building
Bureau of Plumbing
P.O. Box 7969
Madison, WI 53707
To whom it may concern:
An onsite soil investigation of the Dennis Cooper property, located
in the SE1/4 of the SE1/4, Sec.32, T28N, R17W, Town of Pleasant
Valley, St. Croix County, WI., has been conducted with the
assistance of Art Wegerer, CST# 576.
This onsite revealed suitable soil for onsite sewage disposal to a
depth of 14" while meeting the requirments of the A + 4" rule. This
site should be suitable for new construction using a mound septic
system having 22" of sand fill.
Should you have any questions, please feel free to contact this
office.
Since ely,
mes I~. Thompson
Assistant Zoning Administrator
cc: file
SITE EVALUATION REPORT
D I L H R in accord with ILHR 83.05, Wis. Adm. Code
,(yS1 .,l1 WA1lN4
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DAT
K11:2
PROPERTY OWNER PROPERTY LOCATION
>Q r r Ul r~5C n GOVT. LOT S~ 1/4 St 1/4,S ~ T N.R I ) W
PROPERTY NER'S MAI~ING AD RSS LOT # BLOCK # SUED. NAME OR CSM #
CITY., STATE r. ZIP CODE PHONE NUMBER []CITY VILLAG~~~,?~(c~. FOWN NEAREST R AO
L J-Weew Construction Use ( residential / Number of bedrooms 7 r CST
j) Replacement [ J Public or commercial describe
Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2
Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd$ trench, gpd/ft2
Recommended infiltration surface elevation(s) It (as referred to site plan benchmark)
Additional design / site considerations
Parent material Flood plain elevation, if applicable h
S = Suitable for system CONVENTIONAL MOUND W-~ w MROUNDP_ RES~SURE AT-GRADE S DE LPrj 0 S Lpd-j SYSTEM t IN FILL HOSING TANK
U = Unsuitable for s stem 0 S Lc7.H~ p-~ U ❑ S t<~ SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft Consistence in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. Boundary Roots
s:>...:~..
Bed Tr1a-d
zz V fi
Ground y-
elev. n~ ;',x rbt
F~
Depth to
S4 -,A
limiting
2 factor
n
Remarks: 611 et'l
Boring #
Ground -
elev.
Depth to - - -
limiting
factor
F-1-
Remarks:
CST Name:-Please Print Phone:
Address:
Signature: -
Date: CST Number:
- - -
t
! SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
Fr:l~ir.+ -LE PL;rv AP :JxL ~'C.~•lCl it ~',~,ri~ . inn
E: A3
YVVJ
EGERLP -:OIL 7 ^STINli oi 'r . - t
~hcv: & ~
BOX 74 _,?r N wl';TER ST
2
pI r F 0'-
RVER LL W-1 _,R. •`~i-S 1v .J4Plat, Number: S92-4G876 Septeiinhe- lid, 1992
RE: 2
_ _ 7 C a'eU September 2,
Project game: COOPER. CENNI ~ 1E 2.~r :7W
L , I .
Town of iDl F 'J T
VALLI-
The p'sUiii%?:I;P pans an- vpe._ i . ? lion= TJl" ti' ~ C 4 Ccii reviewed for
Comp i i ar;:.e with appl -;---1---- oo- requ . reiiient . i r; 1 E: 3CC,r _ n'ased ~~n Chapter
14, Wi_ isin to*_ut== any ?eisco n s i n Auministrat ve Tire plans are
=t3inped _Griu't !JIl? , pp t'C d ? *1iS apprc>vi i t _ _ ul con compliance with
c-iny St }at toll; i:C4 is --"i r ! plans. A. i i Jte:nc trait i1- *3' i=t be corrected.
H 11 per,:,` is re?11;i red ~ i i4ae, t,•_?%Vi1sni,C"i be obtaineu
ur? r :ristru---tit:,.. Vri c e n s i:lumbe?" Fcr its, - installation
_'ne _et. - -~ns 1Y? ±..}':e Je :a.rtirier?, a - _t the
o nti_,t..._ etc, .t' ...i hen
i
is 1. 0: ,ear '';Il it iJ c,,,t ap~L)i 1 Sanitary
permi t _ onta ireti, exoire .,nie day the in-t a-, 7a' _ar j permit exQl res.
The Sect-'-,in, of Privy=_ ewage '?a,S re. ieweG these p'elf'= : sewage SYs-tEm coda
requirements only. b'+=SA clans have not veep t"eV i °wcv rC -,he cc-de requirements
set fortri 1n.Sect ion =_1ii for general piumr;ini or 'n Ch-aor-ers 50-64 of, the
Wiscons n 4driinistrat i code.
h',i' ape UVr,,, is i' ( c following ccnponents fif`✓:
- NEW TITICN
NEW 400ND
- ' ~
Inquiries _ concerning t. ,.r~ is apPragal may be glade h ..Y cai, 1 ;.t,g (60811 d
.
Sinc
r3t,~~ARD. erely, ~ ~0x
0, ' D c.
~
Section :.f Private Sewags
0c
~.'•iViSiirr; of Salet a n >j ~ i l d i n. c
'c
PP039J0rJt19n .32 / F
DENN S DOPER X_ w -
sen4423 ix. ui/9i,
- -
w
SAFETY & BUILDINGS DIVISION
201 E. Washington Avenue
P.O. Box 7969
Madison, Wisconsin 53707
State of Wisconsin
Department of Industry, Labor and Human Relations
September 9, 1992
DENNIS COOPER
536 NORTH WINTER STREET
RIVER FALLS WI 54022
Petition No. 592-40816-P
Dear Mr. Cooper:
Re: Cooper, Dennis - Residence
Private Sewage System
SE,SE,32,28,17W
Town of Pleasant Valley, St. Croix County, WI
Your petition for a variance to section ILHR 83.23 (1)(d), Wisconsin
Administrative Code, has been reviewed. The petition has been approved.
The rule being petitioned requires that a mound site must have a minimum of
24 inches of suitable natural soil.
The variance requested was to install a new mound system on a site with
14 inches of suitable natural soil.
All of the data and statements submitted on behalf of the petitioner were
considered. This variance is specific to the subject petition and cannot be
used for any additional modifications.
Sincerely,
Ricd;rli c t
Director, Office of Di ision
Codes and Appl icattion
(608) 266-3080
RI°1: GMS:1549WPP3
l
cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Falls
Thomas Nelson, Zoning Administrator - St. Croix County
Arthur L. Wegerer, D-915P - Ellsworth
SBD 6928 (R. 81/91
f SAFETY & BUILDINGS DIVISION
4
201 E. Washington Avenue
P.O. Box 7969 I
Madison, Wisconsin 53707
State of Wisconsin
Department of Industry, Labor and Human Relations
December 21, 1992
WEGERER SOIL TE_>TING €4 DESIGN 1)ENNI COOPER ~
h
BOX 74 `.136 N WNTER wl
RIVER FALLS WI 540?2 R10P FmJs WI 540?2
Dpar Sir or Madam:
Subject: Petition for Variance Approval
PLAN ID: 9240816
There has been some confusion expressed rogarding thr, ,tatus of petitions for
variance for mounds for new construction. On November 23, 11492, Judge Mark
Frankel of the Dan[ County Circuit Court issued a trrr►porar'y injunction against
the Department prohibiting it from accepting or, approving certain kinds of
variances. The Injunction affected only petitions being processed on or-
received after Noverrrber 23, 1992. The variance that you received for your
j mound system was approved prior to the issuance of the temporary injunction.
The Public Intervenor, who brought the action against the Department, did not
request, nor did 3udge Frankel grant., any ot'der~ affecting variances already
approved by the Department, It you have not yet done so, you may submit a
sanitary permit application to your, county coda adminI'Strator . Once you have
received a sanitary permit, your plumber may pro(.-.e(-,d with the construction of
the mound system.
If you have,, any questions regardinq this matter , 1,lear r- feel froo to contact
me ,
incer•(aly,
Bennette 1). Burks, P.F Chiet
Private 'Sewagp Section
6081'66 0056
cc: 'ST CROIX
SOD-8817 (R. 01/91)